Conscientious objection - The Nursing and Midwifery Council https://www.nmc.org.uk/standards/code/conscientious-objection-by-nurs...

Conscientious objection by nurses, midwives and

nursing associates
Nurses, midwives and nursing associates must at all times keep to the principles contained
within the Code (/standards/code/).

Paragraph 4.4 of the Code states that nurses, midwives and nursing associates who have a
conscientious objection must tell colleagues, their manager and the person receiving care that they
have a conscientious objection to a particular procedure. They must arrange for a suitably qualified
colleague to take over responsibility for that person’s care.

Paragraph 20.7 of the Code requires nurses, midwives and nursing associates to make sure they do
not express their personal beliefs (including political, religious or moral beliefs) to people in an
inappropriate way. This expression may be in any format including though the use of social media.
Paragraph 20.10 of the Code states that nurses, midwives and nursing associates must use all
forms of spoken, written and digital communication (including social media and networking sites)
responsibly, respecting the right to privacy of others at all times. For further information on this,
please see our social media guidance (/standards/guidance/social-media-guidance/).

There is a currently statutory right of conscientious objection for nurses, midwives and nursing
associates in two areas:   

1.  Section 4(1) of the Abortion Act 1967 (Scotland, England and Wales)
(http://www.legislation.gov.uk/ukpga/1967/87)

This provision allows nurses and midwives in Scotland, England and Wales and nursing
associates in England, to refuse to participate in the process of treatment which results in the
termination of a pregnancy because they have a conscientious objection, except where it is
necessary to save the life or prevent grave permanent injury to the physical or mental health of
a pregnant woman.

Part 7 of The Abortion (Northern Ireland) Regulations 2020  (https://www.legislation.gov.uk

/uksi/2020/345/contents/made)

This provision allows nurses and midwives in Northern Ireland to refuse to participate in the
process of treatment which results in the termination of a pregnancy because they have a
conscientious objection, except where it is necessary to save the life, or to prevent grave
permanent injury to the physical or mental health, of a pregnant woman.

The Supreme Court decision in  Greater Glasgow Health Board (Appellant) v Doogan and
another (Respondents) (Scotland) [2014] UKSC 68 (https://www.supremecourt.uk/cases/uksc-
2013-0124.html) provides additional information on the meaning of participation in any
treatment.

2.  Section 38 of the Human and Fertilisation and Embryology Act (1990)

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Conscientious objection - The Nursing and Midwifery Council https://www.nmc.org.uk/standards/code/conscientious-objection-by-nurs...

(http://www.legislation.gov.uk/ukpga/1990/37/section/38)

This provision allows nurses, midwives and nursing associates the right to refuse to participate
in technological procedures to achieve conception and pregnancy because they have a
conscientious objection. This applies to healthcare professionals working in the UK.

The Conscientious Objection (Medical Activities) Bill entered its Committee Stage at the House of
Lords in March 2018. Following the 2017-2019 session of Parliament prorogation, this Bill will make
no further progress.

Further information
For further information and advice on this subject, nurses, midwives and nursing associates should
contact their union or employer.

© The Nursing and Midwifery Council 2021

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